Mckenzie Kay Azevedo, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Provo, Utah. Her current practice location is
475 W 940 N, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 357-7686.
Mckenzie Kay Azevedo is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730765504.
Physician's Profile
Full Name | Mckenzie Kay Azevedo |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 475 W 940 N, Provo, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730765504
- Provider Enumeration Date: 03/22/2021
- Last Update Date: 03/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133563273
- Enrollment ID: I20240216002813
Medical Identifiers
Medical identifiers for Mckenzie Kay Azevedo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730765504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1005310-1204 (Utah) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mckenzie Kay Azevedo allows following entities to bill medicare on her behalf.
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mckenzie Kay Azevedo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mckenzie Kay Azevedo, 475 W 940 N, Provo, UT 84604-3301 Ph: () - | Mckenzie Kay Azevedo, 475 W 940 N, Provo, UT 84604-3301 Ph: (801) 357-7686 |
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